综合护理干预对首发精神分裂症患者服药依从性的影响

Effects of comprehensive nursing intervention for the treatment compliance of first-episode schizophrenics

目的探讨综合护理干预对首发精神分裂症患者服药依从性的影响。方法将60例首发精神分裂症患者随机分为干预组和对照组,每组30例,对照组在常规使用药物治疗的同时,给予精神科常规护理,干预组在此基础上实施综合护理干预。采用简易问卷判断患者的服药依从性;采用阴性和阳性症状量表(PANSS)评定患者的病情。结果实施综合护理干预措施后干预组患者的服药依从性较对照组明显提高,PANSS总分,包括阴性、阳性症状、一般精神病性症状、BPRS评分等均低于对照组,差异有统计学意义(P<0.05)。结论综合护理干预措施有助于提高首发精神分裂症患者的服药依从性;能够改善患者的社会功能,提高患者的生活质量。

Objective To explore the effects of comprehensive nursing intervention on treatment compliance in first-episode schizophrenics. Methods 60 first-episode schizophrenics were randomly divided into intervention group and control group （each n=30）, both groups received psychiatric routine therapy and nursing, and intervention group was plus combined nursing interven- tion. Treatment compliance were assessed with the self-made simple questionnaire, and disease severity were assessed with the negative and positive symptoms scale （PANSS）. Results Compared with control group, treatment compliance increased significant- ly in intervention group, and total scores of the PANSS, including negative and positive symptoms, general psychiatric symptoms, and scores of BPRS were lower than that of tile control group after intervention. Difference was statistically significant（P 〈 0.05）. Conclusion Comprehensive nursing intervention makes for improving treatment compliance and social function, and raising their quality of life of first-episode schizophrenics.